ABHD5 and partial HDAC4 fragments and variants as a therapeutic approach for the treatment of cardiovascular diseases

ABSTRACT

The present invention relates to Abhydrolase containing domain 5 (ABHD5) and N-terminal fragments of HDAC4 (HDAC4-NT) and variants of the aforementioned peptides for the treatment and prevention of heart failure. The present invention further provides vectors for the cardiomyocyte-specific expression of said peptides and a test system comprising ABHD5 for the identification of novel compounds which are useful for the treatment of heart failure.

CROSS REFERENCE TO RELATED APPLICATIONS

This application is a 371 national stage of International Application No. PCT/EP2014/053042, filed on Feb. 17, 2014, and claims the benefit of U.S. Provisional Application No. 61/765,440, filed Feb. 15, 2013, the disclosures of which are herein incorporated by reference in their entirety.

REFERENCE TO SEQUENCE LISTING

The instant application contains a Sequence Listing which has been submitted electronically in ASCII format and is hereby incorporated by reference in its entirety. Said ASCII copy, created on Aug. 6, 2015, is named 116023_1_Sequence_Listing.txt and is 78,641 bytes in size.

FIELD OF THE INVENTION

The present invention relates to Abhydrolase containing domain 5 (ABHD5) and N-terminal fragments of HDAC4 (HDAC4-NT) and variants of the aforementioned peptides for the treatment and prevention of heart failure. The present invention further provides vectors for the cardiomyocyte-specific expression of said peptides and a test system comprising ABHD5 for the identification of novel compounds which are useful for the treatment of heart failure.

BACKGROUND OF THE INVENTION

Sustained catecholaminergic stress is known to promote heart failure (Cohn et al., 1984 “Plasma Norepinephrine as a Guide to Prognosis in Patients with Chronic Congestive Heart Failure” New England Journal of Medicine, 311: 819-823). In contrast to this, short-term catecholaminergic stimulation (e.g. by physical exercise) promotes cardiac health (Keteyian et al, 2010 “Clinical Role of Exercise Training in the Management of Patients with Chronic Heart Failure” Journal of Cardiopulmonary Rehabilitation and Prevention, 30:67-76). Thus, there appear to be different signaling pathways downstream of the β-adrenergic receptor mediating cardioprotective and pathophysiological effects of β-adrenergic receptor stimulation. One consequence of sustained catecholaminergic stress is myocardial remodeling which causes or exacerbates heart failure. Thus, therapeutic means for influencing said signaling pathways are desirable.

Full-length histone deacetylase 4 (HDAC4) is proteolytically processed by a previously unknown enzyme yielding an N-terminal fragment (HDAC4-NT) comprising 201 amino acids. In vitro, HDAC4-NT selectively represses myocyte enhancer factor 2 (MEF2) (Backs et al., 2011, “Selective repression of MEF2 Activity by PKA-dependent Proteolysis of HDAC4”, Journal of Cell Biology, 195: 403-415).

Abhydrolase containing domain 5 (ABHD5, also known as “comparative gene identification-58” (CGI-58)) is a protein which has been previously known to be involved in lipid metabolism (Grannemann et al., 2009 “Perilipin controls Lipolysis by regulating the Interactions of AB-hydrolase Containing 5 (Abhd5) and Adipose Triglyceride Lipase (Atgl)”, The Journal of Biological Chemistry 284: 34538-34544). Mutations of ABHD5 cause the Chanarin-Dorfman syndrome, a rare genetic disease characterized by excessive accumulation of triacylglycerol in multiple tissues (Lass et al., 2006 “Adipose triglyceride lipase-mediated lipolysis of cellular fat stores is activated by CGI-58 and defective in Chanarin-Dorfman Syndrome” Cell Metabolism 3: 309-319). It has not been implicated in the regulation of cardiac remodeling.

Thus, the problem underlying the present invention can be viewed as the provision of novel means and methods for the treatment and prevention of heart failure.

BRIEF SUMMARY OF THE INVENTION

In a first aspect, the present invention relates to abhydrolase containing domain 5 (ABHD5) or a variant thereof for use as a medicament.

In another aspect, the present invention relates to ABHD5 or a variant thereof for use in the treatment or prevention of heart failure.

In yet another aspect, the present invention relates to a nucleic acid encoding ABHD5 or a variant thereof for use as a medicament.

In yet another aspect, the present invention relates to a nucleic acid encoding ABHD5 or a variant thereof for use in the treatment or prevention of heart failure.

In yet another aspect, the present invention relates to a vector comprising a nucleic acid encoding ABHD5 or a variant thereof.

In yet another aspect, the present invention relates to a vector comprising a nucleic acid encoding ABHD5 or a variant thereof for use as a medicament.

In yet another aspect, the present invention relates to a vector comprising a nucleic acid encoding ABHD5 or a variant thereof for use in the treatment or prevention of heart failure.

In yet another embodiment, the present invention relates to an elongated and/or multimerized variant of the N-terminal fragment of histone deacetylase 4 (HDAC4-NT).

In yet another embodiment, the present invention relates to HDAC4-NT or a variant thereof for use as a medicament.

In yet another embodiment, the present invention relates to HDAC4-NT or a variant thereof for use in the treatment or prevention of heart failure.

In yet another aspect, the present invention relates to a nucleic acid encoding an elongated and/or multimerized variant of HDAC-NT.

In yet another aspect, the present invention relates to a nucleic acid encoding HDAC4-NT or a variant thereof for use as a medicament.

In yet another aspect, the present invention relates to a nucleic acid encoding HDAC4-NT or a variant thereof for use in the treatment or prevention of heart failure.

In yet another aspect, the present invention relates to a vector comprising nucleic acid encoding HDAC4-NT or a variant thereof.

In yet another aspect, the present invention relates to a nucleic acid encoding HDAC4-NT or a variant thereof for use as a medicament.

In yet another aspect, the present invention relates to a vector comprising a nucleic acid encoding HDAC4-NT or a variant thereof for use in the treatment or prevention of heart failure.

In yet another aspect, the present invention relates to a method for identifying a compound which modulates the activity and/or localization of ABHD5 or a variant thereof comprising the steps of

-   -   a) contacting a test system comprising ABHD5 or a variant         thereof with a candidate compound;     -   b) determining whether the candidate compound modulates the         activity and/or localization of ABHD5 or the variant thereof;     -   c) identifying the compound as a compound which modulating the         activity and/or localization of ABHD5 based on the comparison of         the activity of ABHD5 or the variant thereof in the test system         comprising the candidate compound and the activity of ABHD or         the variant thereof determined in a control in step b).

In yet another aspect, the present invention relates to the use of ABHD5 for identifying a compound which suppresses myocardial remodeling.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1: AAV-9 is an example as an use in vivo. (A) gain of function of the protease abhd5 to increase the quantity of cardioprotective HDAC4-NT. (B) Genetreansfer of HDAC4-NT, optimized HDAC4-NT or HDAC4-NT related constructs via adeno associated virus (AAV). NT: N-terminus; abhd5: 1-acylglycerol-3-phosphate O-acyltransferase;

FIG. 2: HDAC4 aa 2-201 were cloned into an AAV-9 virus (NT). NT was applied to animals 6 weeks before TAC surgery (indicated as a lines in the timecourse of echos, A). Controls received Luciferase cloned into AAV-9 (LUC). In consecutive echos, fs decreased after TAC surgery whereas NT treated animals were protected from reduced function, n=5, **p<0.01. Arrow indicates timepoint of echo in figure (B). Heartweight/Bodyweight ratio was normalized (n=5; **p<0.01) (C)

FIG. 3: In part, dyregulated genes were normalized, such as myh6 (A) and nppb (D). Myh7 (B) and nppa (C) were not normalized by NT-treatment (n=5). Values indicate relative expression level normalized to WT sham group; ±SEM *p<0.05.

FIG. 4: Validation experiment of the siRNA-screen confirmed results from the siRNA screen. Co-expression of flag tagged HDAC4 with myc tagged PKA leads to a cleavage of HDAC4 (first three lanes). The cleavage is not longer present when abhd5 is knocked down by using different siRNA in the last three lanes (siRNAs labeled with 1-3). Quantification of the western blots confirmed the results (p<0.05).

FIG. 5: To proof the results from our loss of function approach, we overexpressed abhd5 in cardiomyocytes (last three lanes). Overexpressed flag tagged HDAC4 was cleaved whenever gfp tagged abhd5 was coexpressed. IB: immunoblot; Ad: adenovirus construct.

FIG. 6: Overexpression of abhd5 rescues FCS induced MEF2 luciferase activity. Neonatal rat ventricular cardiomyocytes were treated with 10% FCS for 24 h. HDAC4 alone was not able to inhibit this activation, whereas coexpression of abhd5 was able to blunt the MEF2 activation back on a basic value. This effect was not seen when cells were treated with a EGFP tagged control virus. MEF2-Luc: myosin enhancer factor 2 luciferase construct; FCS: fetal bovine serum; Ad: Adenovirus; #p<0.05 treatment vs. no treatment; $p<0.05 Ad-abhd5 treated vs. cells treated with FCS 10%.

FIG. 7: Cardiomyocyte hypertrophy was significant reduced when abhd5 was expressed. A FCS induced hypertrophy was completely blunted whereas EGFP control virus did not show any beneficial effects on cardiomyocytes. NRVM: neonatal rat ventricular myocytes; FCS: felta bovine serum; #p<0.05 cell size of groups as indicated compared to control group without FCS; $p<0.05 cell size of abhd5 treated group compared to FCS treated group.

FIG. 8: (A) Overexpression of ABHD5 leads to proteolysis of HDAC4. Flag tagged HDAC4 was overexpressed in neonatal rat cardiomycytes with ABHD5, Western blot was performed with an antibody, recognizing Flag. Successful overexpression of ABHD5-GFP was confirmed with a western blot, detecting GFP. (B) HDAC4 and ABHD5 were cloned into a plasmid bearing constitutively active promoter (pNOP) and Galactose inducible promoter (pGAL) respectively. By overexpression either together or with backbone vector in Saccharomyces cerevisiae we found cleavage of HDAC4, confirmed by westernblot analysis. This experiment confirms that ABHD5 cleaves HDAC4 directly without the recruitment of factors only present in mammalian cells. (C) By co-treatment of mice with insulin and a beta receptor agonist (ISO) we found an increase of ABHD5 expression and consequently an increase of endogenous HDAC4 proteolysis. We show here exemplary western blots, performed with antibodies recognizing endogenous N-terminal HDAC4 and endogenous ABHD5. Westernblot against GAPDH confirmed equally protein loading.

FIG. 9: (A) The transcription factor myocyte enhancer factor 2 (MEF2) is sufficiently repressed by overexpression of ABHD5. MEF2-luciferase reporter was overexpressed in neonatal rat cardiomyocytes and stimulated with either endothelin-1 (ET-1) or (B) fetal calf serum (FCS) for 24 h. Co-expression of HDAC4 and ABHD5 leads to a cleavage of HDAC4 and consequently to a repression of MEF2 luciferase activity. Equally expression of HDAC4, ABHD5 and equally protein loading was confirmed by westernblot analysis as indicated. Values are shown as mean±SEM; n>3/group; **p<0.05.

FIG. 10: ABHD5 counteracts cardiomyocyte hypertrophy in vitro. We stimulated neonatal rat cardiomyocyte with the prohypertorphic agents endothelin-1 (ET-1) and fetal calf serum (FCS) for 24 h as indicated. By adenoviral overexpression of ABHD5, hypertrophic response was blunted. (B) Cardiomyocyte size was quantified by counting 3 fields of view (>100 cardiomyocytes per field). Values are sown as mean±SEM; **p<0.05.

FIG. 11: Transgenic overexpression of ABHD5 in vivo protects from cardiac hypertrophy and heart failure. We generated transgenic animals, overexpressing ABHD5 under the control of the αMHC promoter. 3 weeks after induction of pathological cardiac remodeling by transaortic constriction (TAC), we found less hypertrophy indicated by a reduction of heartweight/bodyweight ratio (HW/BW) and heartweight/tibia length ratio (HW/TL). Left ventricular function was improved in transgenic animals, shown as ejection fraction and fractional shortening. Classical pathological genes, such as atrial natriuretic peptide (ANP) and brain natriuretic peptide (BNP) were less induced in ABHD5 transgenic animals. Values are shown as mean±SEM; *p<0.05; **p<0.01; ***p<0.001.

FIG. 12: HDAC4-NT reverses pathological induction of metabolic genes. We measured 4 weeks after induction of pathological cardiac remodeling by transaortic constriction (TAC) the enzymatic activity of key enzymes of the glycolysis. Pathological induction of glycolytic enzymes was reversed when HDAC4 was overexpressed by using the previous described novel AAV-construct. We show here a hierarchical clustering of enzymatic activity of key enzymes as indicated. Color key shows difference from the mean.

FIG. 13: HDAC4 2-202 inhibits MEF2 luciferase activity as well. To test whether different mutations of HDAC4 lead to inhibition of MEF2, we overexpressed HDAC4 2-202 by using an adenovirus system in neonatal rat cardiomyocytes and treated them with the prohypertrophic agent fetal calf serum (FCS). By overexpression of either HDAC4 2-201 or 2-202 endogenous MEF2 activity was sufficient inhibited. We found HDAC4 2-202 was less efficient compared to HDAC4 2-201 in inhibiting MEF2 luciferase activity. In case of pharmacological interventions, this could be an eligible aim since transient or moderate inhibition of MEF2 might be more useful in the clinical setting. Therefore, we claim HDAC4 and HDAC4 mutants as potential therapeutic tools for inhibition of MEF2 and consecutive pathological hypertrophy or pathological cardiac remodeling.

FIG. 14: HDAC4 aa 2-201 were cloned into an AAV-9 virus (NT). NT was applied to animals 6 weeks before TAC surgery. Controls received Luciferase cloned into AAV-9 (LUC). Expression analysis of hearts revealed a specific pattern of genes that was completely normalized in animals that received AAV-NT. These genes are listed beside the heatmap. All of these genes were upregulated in TAC (p<0.0001) and normalized as compared to the AAV-LUC treated sham group (±20%).

FIG. 15: Forced treadmill running was performed twice a day during a 4 week running training program. Shown is the total distance that WT and HDAC4-KO mice run during the entire training program within 4 weeks (A) and the daily distance until exhaustion (B). AAV-NT expression in HDAC4 KO animals was able to rescue the phenotype of reduced exercise performance. Values are shown as mean+SEM (HDAC4-KO and WT n=8; AAV-NT n=3). Echocardiography was performed directly after exercise and revealed a reduced fractional shortening in HDAC4-KO animals, values are shown as mean+SEM (n=8/group; *p<0.05). Westernblot against N-terminal HDAC4 shows and increased HDAC4-NT production after 2 weeks of exercise (D). GAPDH is shown as a loading control.

DETAILED DESCRIPTION OF THE INVENTION

Before the present invention is described in detail below, it is to be understood that this invention is not limited to the particular methodology, protocols and reagents described herein as these may vary. It is also to be understood that the terminology used herein is for the purpose of describing particular embodiments only, and is not intended to limit the scope of the present invention which will be limited only by the appended claims. Unless defined otherwise, all technical and scientific terms used herein have the same meanings as commonly understood by one of ordinary skill in the art.

In the following, the elements of the present invention will be described. These elements are listed with specific embodiments, however, it should be understood that they may be combined in any manner and in any number to create additional embodiments. The variously described examples and preferred embodiments should not be construed to limit the present invention to only the explicitly described embodiments. This description should be understood to support and encompass embodiments which combine the explicitly described embodiments with any number of the disclosed and/or preferred elements. Furthermore, any permutations and combinations of all described elements in this application should be considered disclosed by the description of the present application unless the context indicates otherwise.

Preferably, the terms used herein are defined as described in “A multilingual glossary of biotechnological terms: (IUPAC Recommendations)”, H. G. W. Leuenberger, B. Nagel, and H. Kölbl, Eds., Helvetica Chimica Acta, CH-4010 Basel, Switzerland, (1995).

To practice the present invention, unless otherwise indicated, conventional methods of chemistry, biochemistry, cell biology, and recombinant DNA techniques are employed which are explained in the literature in the field (cf., e.g., Molecular Cloning: A Laboratory Manual, 2^(nd) Edition, J. Sambrook et al. eds., Cold Spring Harbor Laboratory Press, Cold Spring Harbor 1989). Furthermore, conventional methods of clinical cardiology are employed which are also explained in the literature in the field (cf., e.g., Practical Methods in Cardiovascular Research, S. Dhein et al. eds., Springer Verlag Berlin Heidelberg, 2005).

Throughout this specification and the claims which follow, unless the context requires otherwise, the word “comprise”, and variations such as “comprises” and “comprising”, will be understood to imply the inclusion of a stated integer or step or group of integers or steps but not the exclusion of any other integer or step or group of integers or steps. As used in this specification and the appended claims, the singular forms “a”, “an”, and “the” include plural referents, unless the content clearly dictates otherwise.

Several documents are cited throughout the text of this specification. Each of the documents cited herein (including all patents, patent applications, scientific publications, manufacturer's specifications, instructions, etc.), whether supra or infra, are hereby incorporated by reference in their entirety. Nothing herein is to be construed as an admission that the invention is not entitled to antedate such disclosure by virtue of prior invention.

ABHD5 and Variants Thereof

It has been surprisingly found in the study underlying the present invention that inhibition of expression of ABHD5 prevents the proteolytic cleavage of full-length HDAC4, thus generating HDAC4-NT. Based on sequence analysis, it is likely that ABHD5 is a serine protease which cleaves HDAC4. Based on this finding, the ABHD5 can be used for generating HDAC4-NT in vivo, thus protecting the myocardium from heart failure.

Therefore, the present invention relates to abhydrolase containing domain 5 (ABHD5) or a variant thereof for use as a medicament.

In another embodiment, the present invention relates to ABHD5 or a variant thereof for use in the treatment or prevention of heart failure.

The term “ABHD5” relates to a polypeptide having an amino acid sequence as defined by one of the sequences SEQ ID NO: 1 to 5 or a variant thereof. Preferably, ABDH5 has an amino acid as defined by SEQ ID NO: 1 (human ABDH5) or a variant thereof.

“Variants” are preferably N-terminally and/or C-terminally truncated variants, amino acid substitution or deletion variants, or prolonged variants of the sequences of SEQ ID NO: 1 to 5. Variants comprise furthermore an amino acid sequence comprising modified amino acid(s), unnatural amino acid(s) or peptidomimetic(s) or further compounds which can mimic a peptide backbone/structure. Preferably, variants are selected from C-terminally truncated variants of SEQ ID NO.: 1 to 5; amino acid substitution or deletion variants; variants comprising modified amino acid(s), unnatural amino acid(s) or peptidomimetic(s) or further compounds which can mimic a peptide backbone/structure.

Deletion variants are, preferably, characterized by C-terminal deletion of up to 1, 2, 3, 4, 5, 10, 15, 20, 25 or 30 amino acids. Independently of the presence or absence of C-terminal deletions further preferred deletion variants are characterized by N-terminal deletion of up to 1, 2, 3, 4, 5, 10, 15, 20, 25 or 30 amino acids.

The term “ABDH5 variants” preferably includes proteins which have at least 60%, 65%, 70%, 80%, 81%, 82%, 83%, 84%, 84%, 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% sequence similarity, preferably sequence identity over the entire length of the protein according to SEQ ID NO: 1 to 5 or proteins based on SEQ ID NO: 1 to 5 carrying above outlined N- and/or C-terminal deletions using the best sequence alignment and/or over the region of the best sequence alignment, wherein the best sequence alignment is obtainable with art known tools, e.g. Align, using standard settings, preferably EMBOSS::needle, Matrix: Blosum62, Gap Open 10.0, Gap Extend 0.5, with the amino acid sequence set forth in SEQ ID NOs: 1, 2, 3, 4, or 5. It is preferred that when a given ABDH5 variant is aligned with a ABDH5 according to SEQ ID NO:1, 2, 3, 4 or 5 that alignment will be over the entire length of the two proteins and, thus, that the alignment score will be determined on this basis.

In especially preferred deletion variants, the first 29 or, more preferably, the first 31 amino at the N-terminus are deleted. Human ABHD5 comprises tryptophan residues at positions 19, 23 and 27. Rat and mouse ABHD5 comprise tryptophan residues at positions 21, 25 and 29. Said tryptophan residues are responsible for the binding of ABHD5 to lipid droplets. Deletion of these tryptophan residues creates a variant of ABHD5 which has less affinity to lipid droplets. Thus, such deletion variants move more easily to the nucleus and the cytosol where they mediate cleavage of full-length HDAC4 yielding HDAC4-NT.

Deletions in further preferred deletion variants are designed to remove only the first or only the first and second tryptophan residues. Thus, these deletion variants have a lower affinity to lipid droplets as compared to full-length ABHD5 but higher affinity as compared to deletion variants missing the first 27 or 30 amino acids.

Preferred substitution variants are generated by substituting up to 1, 2, 3, 4, 5, 10, 15, 20, 25 or 30 amino acids against natural amino acids, unnatural amino acids or peptidomimetics. Preferably, the amino acids of the wild type protein or a deletion variant thereof are substituted for natural amino acids . . . more preferably, said substitutions are conservative substitutions.

A “conservative amino acid substitution” is one in which an amino acid residue is substituted by another amino acid residue having a side chain (R group) with similar chemical properties (e.g., charge or hydrophobicity). In general, a conservative amino acid substitution will not substantially change the functional properties of a protein. In cases, where two or more amino acid sequences differ from each other by conservative substitutions, the number of substitutions may be adjusted upwards to correct for the conservative nature of the substitution. Thus, in the case of conservative amino acid substitutions up to 40, up to 50 or even up to 70 amino acids may be substituted. Examples of groups of amino acids that have side chains with similar chemical properties include:

-   -   1) aliphatic side chains: glycine, alanine, valine, leucine and         isoleucine;     -   2) aliphatic-hydroxyl side chains: serine and threonine;     -   3) amide-containing side chains: asparagine and glutamine;     -   4) aromatic side chains: phenylalanine, tyrosine, and         tryptophan;     -   5) basic side chains: lysine, arginine, and histidine;     -   6) acidic side chains: aspartate and glutamate, and     -   7) sulfur-containing side chains: cysteine and methionine.

Preferred conservative amino acids substitution groups are: valine-leucine-isoleucine, phenylalanine-tyrosine, lysine-arginine, alanine-valine, glutamate-aspartate, and asparagine-glutamine. Alternatively, a conservative replacement is any change having a positive value in the PAM250 log-likelihood matrix disclosed in Gonnet G. H. et al., 1992 “Exhaustive matching of the entire protein sequence database.” Science 1992, 256:1443-1445. A “moderately conservative” replacement is any change having a non-negative value in the PAM250 log-likelihood matrix.

In especially preferred substitution variants preferably 1, more preferably 2 and most preferably 3 of the tryptophan residues mentioned above (positions 19, 23 and 27 in human ABHD5; positions 22, 26 and 30 in mouse or rat ABHD5) are substituted by a different amino acid. Preferably, said substitution is not a conservative substitution and more preferably, the amino acid which takes the place of tryptophan is alanine.

In one preferred embodiment, positions 19 and 23 of human ABHAD5 or positions 22 and 26 of rat ABHD5 are substituted, preferably with alanine.

In another preferred embodiment, positions 23 and 27 of human ABHAD5 or positions 26 and 30 of rat ABHD5 are substituted, preferably with alanine.

A “variant” as defined above is, preferably, a functional variant. A functional variant is a variant of the wild type ADHD5 as described above which retains its capability to mediate cleavage of full-length HDAC4 in vitro and, preferably, in vivo. Preferably, the ADHD5 variant has at least 50% of the capability of ADHD5 according to SEQ ID NO: 1 to 5, preferably of SEQ I NO: 1 to mediate cleavage of full-length HDAC4 in vitro and, preferably, in vivo, more preferably at least 60%, 70%, 80%, 90%, 95% or 100% of this activity.

An assay for testing whether a variant of ABDH5 is still functional can be based on a cell line which does not express ABDH5 due to a knock out. As described in the examples, inhibition of ABHD5 expression inhibits cleavage of HDAC4. If the cells are then transfected with an expression vector encoding the variant of ABHD5 to be tested, a functional variant restores the cell's capability of generating HDAC4-NT from full-length HDAC4, while a non-functional variant does not. Alternatively, the variant of ABDH5 may be administered to the cells as a peptide.

An even more preferred assay can be conducted in vitro: Since ABDH5 is a putative protease, functional variants of ABDH5 are able to cleave full-length HDAC4 if the required ions and cofactors are present.

Heart Failure

The term “heart failure” as used in the present application refers to any conditions characterized by the inability of the heart to pump a sufficient amount of blood to meet the body's oxygen demand.

Heart failure may affect the right ventricle, the left ventricle or both ventricles. The present invention relates to the treatment or prevention of all of the aforementioned types of heart failure and all degrees of heart failure as set forth below.

The typical symptom experienced by a patient suffering from left-ventricular heart failure is shortness of breath (dyspnea). In mild forms of heart failure, the patient is not limited in ordinary physical activity but experiences dyspnea during periods of increased physical exercise. In more severe cases of heart failure, dyspnea is experienced during ordinary or even light physical activity. In the most severe cases, the patient even experiences dyspnea at rest. The typical symptom of right ventricular heart failure is the congestion of systemic capillaries leading to the accumulation of fluids in various parts of the body. Fluid accumulates in the feet and legs (in people standing up) or in the sacral area (in people lying down). In severe cases fluid accumulates in the abdominal cavity and/or the liver.

Heart failure may be divided into inherited and acquired forms of the disease. Inherited forms of the disease include hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy, isolated ventricular non-compaction and mitochondrial myopathy. Acquired heart failure is typically caused by coronary artery disease, arterial hypertension, loss of viable myocardium due to myocardial infarction, cigarette smoking, obesity, diabetes, metabolic syndrome, kidney disease, environmental stress, depressive or mood disorders, lipid storage disease, cancer, chronic inflammation, postpartal cardiomyopathy, stress induced cardiomyopathy, transient cardiac dysfunction or valvular heart disease. It is particularly preferred that acquired cardiomyopathies are treated, in particular postpartal cardiomyopathy, stress induced cardiomyopathy, transient cardiac dysfunction.

The means and methods of the present invention are suited for the treatment of all the aforementioned types of heart failure.

Heart failure is caused or accompanied by myocardial remodeling. In myocardial remodeling, terminally differentiated cardiomyocytes increase in size in order to increase the contractility of the myocardium. However, this leads to increasing stiffness of the heart and concomitantly to difficulties in filling the ventricles during diastole. Moreover, the ventricles enlarge contributing to a more spherical form of the heart. This spherical shape of the heart decreases the stroke volume. Since myocardial remodeling tends to decrease myocardial output rather than increasing it, the process of myocardial remodeling causes and exacerbates heart failure.

As a consequence of myocardial remodeling, the risk of cardiac dysrhythmia increases. The term “cardiac dysrhythmia” refers to all types abnormal electric activity of the myocardium. Preferably, cardiac dysrhythmia is tachycardia (pathologically increased heart beat) or bradycardia (pathologically decreased heart beat). Cardiac dysrhythmia may originate from the atria or the ventricles. Particularly relevant types of dysrhythmia are areal fibrillation and ventricular tachycardia.

Therefore, the means and methods of the present invention which suppress or reverse the process of myocardial remodeling during heart failure are well suited for the treatment or prevention of myocardial remodeling, thus increasing cardiac output and decreasing the risk of complications of cardiac remodeling, particularly cardiac dysrhythmia as defined above.

The success of the treatment according to the present invention may be verified by echocardiography or magnetic resonance imaging. Moreover, decreasing levels of natriuretic peptides, particularly nT-proBNP after onset of treatment indicate that the treatment is successful.

Patient

The patient receiving the pharmaceutical compounds and pharmaceutical compositions disclosed in the present application is preferably a primate, rodent, pig, sheep, cow or goat. The rodent is, preferably, a rat and more preferably a mouse. The primate is, preferably, a human, chimpanzee or macaque. Most preferably, the patient is a human.

Preferably, the patient suffers from heart failure.

Treatment

As used herein, “treat”, “treating” or “treatment” of a heart failure means refers to at least one of the following: (a) reducing the severity of heart failure, (b) limiting or preventing the symptoms typical for heart failure, (c) reversing myocardial remodeling, (d) preventing further progress of myocardial remodeling, and (e) decreasing the likelihood of the negative consequences of myocardial remodeling described above. Preferably, a patient to be treated already suffers from heart failure and/or myocardial remodeling.

As used herein, “prevent”, “preventing” or “prevention” refer to the inhibition of the onset of heart failure and/or myocardial remodeling in a patient not yet suffering from the aforementioned disorders. Thus, a patient receiving preventive treatment is healthy with respect to the disorder to be prevented by said treatment. In a preferred embodiment of the present invention, the patient suffers from heart failure but does not yet show signs and symptoms of myocardial remodeling.

It is understood by the person skilled in the art that “treatment” or prevention” may not be successful in every patient receiving the pharmaceutical compounds or composition of the present invention. However, the terms “treatment” and “prevention” require that a significant proportion of patient benefits from said treatment.

In patients suffering from primary heart failure as defined above, treatment according to the present invention preferably cures heart failure because it removes or alleviates the underlying cause.

In patients suffering from secondary heart failure as defined above, the treatment according to the present invention preferably decreases the speed of progression of heart failure or even stops progression of heart failure completely.

Nucleic Acid

In yet another aspect, the present invention relates to a nucleic acid encoding ABHD5 or a variant thereof for use as a medicament.

In yet another aspect, the present invention relates to a nucleic acid encoding ABHD5 or a variant thereof for use in the treatment or prevention of heart failure.

The term “nucleic acid” refers to a polymeric macromolecule made from nucleotide monomers. Nucleotide monomers are composed of a nucleobase, a five-carbon sugar (such as but not limited to ribose or 2′-deoxyribose), and one to three phosphate groups. Typically, a polynucleotide is formed through phosphodiester bonds between the individual nucleotide monomers. In the context of the present invention preferred nucleic acid molecules include but are not limited to ribonucleic acid (RNA) and deoxyribonucleic acid (DNA). Moreover, the term “polynucleotide” also includes artificial analogs of DNA or RNA, such as peptide nucleic acid (PNA).

The nucleic acid of the present invention encodes ABHD5 or a variant thereof. Since the genetic code is degenerated, i.e. each amino acid is encoded by more than one nucleic acid, each peptide or its variant may be encoded by a multiplicity of different nucleic acid sequences.

Preferably, the nucleic acid encoding ABHD5 is selected from the group consisting of SEQ ID NOs: 6, 7, 8, 9 and 10. More preferably, the nucleic acid encoding ABHD5 has a sequence as defined by SEQ ID NO: 6.

Vector

For an effective treatment of heart failure, the increase of the amount of functional ABHD5 is advantageous. The administration of ABHD5 may pose practical difficulties. Therefore, the use of expression systems which mediate expression of ABHD5 by the cardiomyocytes of the patient are a solution for the problem underlying the present invention.

Thus, in yet another embodiment, the present invention relates to a vector comprising a nucleic acid encoding ABHD5 or a variant thereof.

In yet another embodiment, the present invention relates to a vector comprising a nucleic acid encoding ABHD5 or a variant thereof for use as a medicament.

In yet another embodiment, the present invention relates to a vector comprising a nucleic acid encoding ABHD5 or a variant thereof for use in the treatment or prevention of heart failure.

As used herein, the term “vector” refers to at least one nucleic acid or to a mixture of at least one nucleic acid and at least one protein which is capable of introducing the nucleic acid comprised therein into a cell. At least one nucleic acid comprised by the vector consists of or comprises at least one nucleic acid encoding ABHD5 or a variant thereof. In addition to the nucleic acid consisting of or comprising the nucleic acid encoding ABHD5 or the variant thereof, additional nucleic acids and/or polypeptides may be introduced into the cell. The addition of additional nucleic acids and/or polypeptides is especially preferred if said additional nucleic acids and/or polypeptides are required to introduce the nucleic acid encoding ABHD5 or the variant thereof into the cell.

In the context of the present invention it is preferred that ABHD5 or the variant thereof is expressed within the cell upon introduction of the vector or vectors. Examples of suitable vectors include but are not limited to plasmids, cosmids, phages, viruses or artificial chromosomes.

In preferred embodiments, the vector is selected from the group consisting of plasmids, cosmids, phages, viruses, and artificial chromosomes. More preferably, a vector suitable for practicing the present invention is a phage vector, preferably lambda phage and filamentous phage vectors, or a viral vector.

Preferred viral vectors are based on naturally occurring vectors, which are modified to be replication incompetent also referred to as non-replicating. Non-replicating viruses require the provision of proteins in trans for replication. Typically those proteins are stably or transiently expressed in a viral producer cell line, thereby allowing replication of the virus. The viral vectors are, thus, preferably infectious and non-replicating. The skilled person is aware of how to render various viruses replication incompetent.

In a preferred embodiment of the present invention the vector is selected from the group consisting of adenovirus vectors, adeno-associated virus (AAV) vectors (e.g., AAV type 6, type 1, type 5, type 9 and type 2), alphavirus vectors (e.g., Venezuelan equine encephalitis virus (VEE), sindbis virus (SIN), semliki forest virus (SFV), and VEE-SIN chimeras), herpes virus vectors (e.g. vectors derived from cytomegaloviruses, like rhesus cytomegalovirus (RhCMV) (14)), arena virus vectors (e.g. lymphocytic choriomeningitis virus (LCMV) vectors (15)), measles virus vectors, pox virus vectors (e.g., vaccinia virus, modified vaccinia virus Ankara (MVA), NYVAC (derived from the Copenhagen strain of vaccinia), and avipox vectors: canarypox (ALVAC) and fowlpox (FPV) vectors), vesicular stomatitis virus vectors, retrovirus, lentivirus, viral like particles, and bacterial spores.

The most preferred vector is an adenovirus, more preferably adeno associated virus (AAV) type 1, type 6 or type 9. For use in humans, AAV types 1 or 6 are preferred, for use in mice AAV type 9.

An especially preferred vector given in SEQ ID NO: 18. Also preferred is a vector as defined by SEQ ID NO: 19. Said sequences comprise HDAC4-NT or luciferase instead of a ABHD5. However, the exchange of these inserts for ABHD5 is easily accomplished.

To direct expression of ABHD5 or the variant thereof, the nucleic acid encoding it is operationally linked to an internal promoter and/or enhancer that is recognized by the transcriptional machinery of the cell. Suitable promoters may be derived from the genome of mammalian cells (e. g., MHCII promoter, EF1alpha promoter) or from mammalian viruses (e.g., the cytomegalovirus promoter, the spleen focus-forming virus SFFV promoter). Especially preferred are promoters which enable the expression of the above-mentioned gene in cardiomyocytes.

One preferred promoter is defined by SEQ ID NO: 22. In an especially preferred embodiment, the promoter is a human troponin promoter, more preferably the human troponin T promoter, as this promoter is especially well suited for cardiomyocyte-specific expression of transgenes. Preferably, the human troponin T promoter has a nucleic acid sequence as defined by SEQ ID NO: 21.

In another preferred embodiment, the vector encodes a recognition site for micro-RNA 122 between the coding sequence of the HDAC4, ABHD5 or their variants and the terminator sequence so that said recognition site becomes part of the transcript which also encodes HDAC4, ABHD5 or a variant thereof produced from this vector. Since micro-RNA 122 is found in many types of cells but not in cardiomyocytes, said recognition site causes breakdown of the mRNA in those types of cells where micro-RNA 122 is present, thus preventing translation of the transcript. Preferably the recognition site for micro-RNA 122 has a nucleic acid sequence as defined by SEQ ID NO: 20.

Since the two elements described above are advantageous for the cardiomyocyte-specific expression of many other peptides besides HDAC4-NT and ABHD5, the present invention relates in a further embodiment to the use of a recognition site for micro-RNA 122 for the cardiomyocyte-specific expression of transgenes. Preferably, said recognition site has a nucleic acid sequence as defined by SEQ ID NO: 20.

In yet another embodiment, the present invention relates to the use of a combination of the human troponin promoter and the recognition site for micro-RNA 122 for the cardiomyocyte-specific expression of transgenes. Preferably, said recognition site has a nucleic acid sequence as defined by SEQ ID NO: 20.

In yet another embodiment, the present invention relates to a vector encoding a recognition site for micro-RNA 122 between the promoter and the terminator sequence so that said recognition site becomes part of the transcript which also encode HDAC4-NT or a variant thereof produced from this vector. Preferably, said recognition site has a nucleic acid sequence as defined by SEQ ID NO: 20. Preferably, the vector additionally comprises a human troponin promoter. More preferably, the human troponin promoter controls transcription of the nucleic sequence which comprises the aforementioned recognition site for micro-RNA 122.

In a particularly preferred embodiment of the present invention, the vector comprises a human troponin T promoter as defined above and a nucleic acid sequence encoding a recognition site for micro-RNA 122 as defined above.

As used herein, “operatively linked” means incorporated into a genetic construct so that expression control sequences effectively control expression of a coding sequence of interest.

Specific initiation signals may also be required for efficient translation of coding sequences. These signals include the ATG initiation codon and adjacent sequences. Exogenous translational control signals, including the ATG initiation codon, may additionally need to be provided. One of ordinary skill in the art would readily be capable of determining this and providing the necessary signals. It is well known that the initiation codon must be in-frame (or in-phase) with the reading frame of the desired coding sequence to ensure translation of the entire insert. These exogenous translational control signals and initiation codons can be of a variety of origins, both natural and synthetic.

HDAC4-NT and Variants Thereof

HDAC4-NT not just represses the transcription factor MEF2 in vitro, thus inhibiting cardiomyocyte hypertrophy (Backs et al., 2011, cited supra). The study underlying the present invention surprisingly showed that overexpression of HDAC4 by an adenoviral expression system in vivo (i) prevents myocardial remodeling, and (ii) does not cause intolerable side effects. Given the fact, that similar approaches with other peptides proved non feasible in vivo due to side effects (Czubryt et al. 2003, Proc Natl Acad Sci U.S.A. 100:1711-6), this finding was unexpected and highlights the advantages of HDAC4-NT as a therapeutic means.

Therefore, in yet another embodiment, the present invention relates to an elongated and or multimerized variant of the N-terminal fragment of histone deacetylase 4 (HDAC4-NT).

In yet another embodiment, the present invention relates to HDAC4-NT or a variant thereof for use as a medicament.

In yet another embodiment, the present invention relates to HDAC4-NT or a variant thereof for use in the treatment or prevention of heart failure.

All definitions given above for the terms “heart failure”, “patient”, “treatment” and “prevention” with respect to ABHD5 also apply to embodiments of the invention relating to HDAC4-NT and the variants thereof.

The term “HDAC4-NT” relates to a polypeptide having an amino acid sequence as defined by one of the sequences SEQ ID NO: 13 (human HDAC4-NT) or 14 (mouse HDAC4-NT) or a variant thereof. Preferably, HDAC4-NT has an amino acid sequence as defined by SEQ ID NO: 13 or a variant thereof.

“Variants” of HDAC4-NT are preferably N-terminally and/or C-terminally truncated variants, amino acid substitution or deletion variants, multimerized or elongated variants of the sequences defined by SEQ ID NO: 13 or 14. Variants comprise furthermore an amino acid sequence comprising modified amino acid(s), unnatural amino acid(s) or peptidomimetic(s) or further compounds which can mimic a peptide backbone/structure. Preferably, variants are selected from C-terminally truncated variants of SEQ ID NO: 13 or 14; amino acid substitution or deletion variants; variants comprising modified amino acid(s), unnatural amino acid(s) or peptidomimetic(s) or further compounds which can mimic a peptide backbone/structure.

Deletion variants are, preferably, characterized by C-terminal deletion of up to 1, 2, 3, 4, 5, 10, 15, 20, 25 or 30 amino acids. Independently of the presence or absence of C-terminal deletions further preferred deletion variants are characterized by N-terminal deletion of up to 1, 2, 3, 4, 5, 10, 15, 20, 25 or 30 amino acids. A preferred deletion variant comprises amino acid positions 2 to 201 of SEQ ID NO: 13 or 14, more preferably of SEQ ID NO: 13. This variant is also referred to as “HDAC4 2-201”.

The term “HDAC4-NT variants” preferably includes proteins which have at least 60%, 65%, 70%, 80%, 81%, 82%, 83%, 84%, 84%, 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% sequence similarity, preferably sequence identity over the entire length of the protein according to SEQ ID NO: 13 or 14 or proteins based on SEQ ID NO: 13 or 14 carrying above outlined N- and/or C-terminal deletions using the best sequence alignment and/or over the region of the best sequence alignment, wherein the best sequence alignment is obtainable with art known tools, e.g. Align, using standard settings, preferably EMBOSS::needle, Matrix: Blosum62, Gap Open 10.0, Gap Extend 0.5, with the amino acid sequence set forth in SEQ ID NOs: 13 or 14. It is preferred that when a given HDAC4-NT variant is aligned with a HDAC4-NT according to SEQ ID NO: 13 or 14 that alignment will be over the entire length of the two proteins and, thus, that the alignment score will be determined on this basis.

Preferably, a deletion variant retains amino acid positions 169 to 185 of SEQ ID NO: 13 as these positions are important for binding of HDAC-NT to MEF2.

Preferred substitution variants are generated by substituting up to 1, 2, 3, 4, 5, 10, 15, 20, 25 or 30 amino acids against natural amino acids, unnatural amino acids or peptidomimetics. Preferably, the amino acids of the wild type protein or a deletion variant thereof are substituted for natural amino acids, more preferably, said substitutions are conservative substitutions.

A “conservative amino acid substitution” is one in which an amino acid residue is substituted by another amino acid residue having a side chain (R group) with similar chemical properties (e.g., charge or hydrophobicity). In general, a conservative amino acid substitution will not substantially change the functional properties of a protein. In cases, where two or more amino acid sequences differ from each other by conservative substitutions, the number of substitutions may be adjusted upwards to correct for the conservative nature of the substitution. Thus, in the case of conservative amino acid substitutions up to 40, up to 50 or even up to 70 amino acids may be substituted. Examples of groups of amino acids that have side chains with similar chemical properties include

-   -   1) aliphatic side chains: glycine, alanine, valine, leucine and         isoleucine;     -   2) aliphatic-hydroxyl side chains: serine and threonine;     -   3) amide-containing side chains: asparagine and glutamine;     -   4) aromatic side chains: phenylalanine, tyrosine, and         tryptophan;     -   5) basic side chains: lysine, arginine, and histidine;     -   6) acidic side chains: aspartate and glutamate, and     -   7) sulfur-containing side chains: cysteine and methionine.

Preferred conservative amino acids substitution groups are: valine-leucine-isoleucine, phenylalanine-tyrosine, lysine-arginine, alanine-valine, glutamate-aspartate, and asparagine-glutamine. Alternatively, a conservative replacement is any change having a positive value in the PAM250 log-likelihood matrix disclosed in Gonnet G. H. et al., 1992 “Exhaustive matching of the entire protein sequence database.” Science 1992, 256:1443-1445. A “moderately conservative” replacement is any change having a non-negative value in the PAM250 log-likelihood matrix.

Further preferred variants of HDAC4-NT are elongated variants which comprise additional amino acids at the C-terminus. More preferred are variants which comprise amino acid positions 2 to 202, 1 to 220, 1 to 216, 1 to 212 or 1 to 208 of full-length HDAC4 as defined by SEQ ID NO: 11 (human) or 12 (mouse). Even more preferably, a variant of HDAC4-NT comprises amino acid positions 2 to 202, 1 to 208 or 1 to 220 of SEQ ID NO: 11 or 12. Most preferably, an elongated variant of HDAC4-NT comprises amino acid positions 2 to 202, 1 to 220 or 1 to 208 of SEQ ID NO: 11. It is to be understood that said elongated variants may be modified by amino acid substitutions as set forth above. The variant comprising amino acid positions 2 to 202 is also referred to as HDAC4 2-202.

In a further preferred embodiment, the variant of HDAC4-NT is a variant generated by multimerization of HDAC4-NT. A multimerized variant of HDAC4-NT is a polypeptide which comprises the amino acid sequence of HDAC4-NT or any of the variants described above not just once but in at least 2, at least 3, at least 4 or at least 5 repeats. Thus, a single polypeptide comprises more than one binding site for MEF2. It is to be understood that a multimerized variant of HDAC4-NT or any of the above-described deletion, elongation or substitution variants thereof may be generated by repeating the same amino acid sequence (homogeneous multimer) or by combining more than one of the aforementioned variants (heterogeneous multimer), thus generating a polypeptide whose repeated sequence motifs are similar but not identical

In an especially preferred embodiment of the present invention, amino acid positions 1 to 201, 2 to 201, 2 to 202, 1 to 208 or 1 to 220 are multimerized. In one preferred embodiment, the multimerization is homogeneous, i.e. only a sequence comprising amino acid positions 2 to 201, 2 to 202, 1 to 201, 1 to 208 or 1 to 220 is repeated. In another preferred embodiment, the multimerization is heterogeneous, i.e. the multimer comprises a combination of at least two different sequences.

Any “variant” defined above is, preferably, a functional variant. A functional variant is a variant of the wild type HDAC4-NT as described above which retains its capability to repress myocyte enhancer factor 2 (MEF2). Preferably, the HDAC4-NT variant has at least 50% of the MEF2 repressing ability of HDAC4-NT comprising amino acid positions 1 to 220 of SEQ ID NO: 11 or 12. More preferably at least 60%, 70%, 80%, 90%, 95% or 100%.

An assay for testing whether a variant of HDAC4-NT is still functional disclosed by Backs et al., 2011 cited supra. Briefly, a reporter gene such as luciferase is coupled to a MEF2-regulated promoter. If this construct is expressed in a cell, the signal generated by the reporter gene is decreased in the presence of repressors of MEF2. Thus, variants of HDAC4-NT can be expressed in the cell and their ability to repress MEF2 can be determined by measuring the signal of the reporter gene relative to the signal in a control experiment with the presence of HDAC4-NT or a variant thereof.

It is to be understood that the most preferred variant of HDAC4 is not always the variant which has the highest activity as determined by the repression of MEF2 in the assay described above. As excessive repression of MEF2 may have deleterious effects, HDAC4 variants with decreased activity may be preferred as these have a wider therapeutic index, thus decreasing the risk of undesired side effects.

For this reason, HDAC4 2-201 and 2-202 are equally preferred. HDAC4 2-202 is especially preferred in those cases, where side effects have to be avoided, while HDAC4 2-201,

Nucleic Acid

In yet another aspect, the present invention relates to a nucleic acid encoding HDAC4-NT or a variant thereof for use as a medicament.

In yet another aspect, the present invention relates to a nucleic acid encoding HDAC4-NT or a variant thereof for use in the treatment or prevention of heart failure.

The term “nucleic acid” refers to a polymeric macromolecule made from nucleotide monomers. Nucleotide monomers are composed of a nucleobase, a five-carbon sugar (such as but not limited to ribose or 2′-deoxyribose), and one to three phosphate groups. Typically, a polynucleotide is formed through phosphodiester bonds between the individual nucleotide monomers. In the context of the present invention preferred nucleic acid molecules include but are not limited to ribonucleic acid (RNA) and deoxyribonucleic acid (DNA). Moreover, the term “polynucleotide” also includes artificial analogs of DNA or RNA, such as peptide nucleic acid (PNA).

The nucleic acid of the present invention encodes HDAC4-NT or a variant thereof. Since the genetic code is degenerated, i.e. each amino acid is encoded by more than one nucleic acid, each peptide or its variant may be encoded by a multiplicity of different nucleic acid sequences. Preferably, a nucleic acid encoding HDAC4-NT is defined by SEQ ID NO: 17.

Vector

For an effective treatment of heart failure, the increase of the amount of HDAC4-NT or a variant thereof is advantageous. The administration of HDAC4-NT as peptide may pose practical difficulties. Therefore, the use of expression systems which mediate expression of HDAC4-NT or a variant thereof by the cardiomyocytes of the patient are a solution for the problem underlying the present invention.

Thus, in yet another embodiment, the present invention relates to a vector comprising a nucleic acid encoding HDAC4-NT or a variant thereof.

In yet another embodiment, the present invention relates to a vector comprising a nucleic acid encoding HDAC4-NT or a variant thereof for use as a medicament.

In yet another embodiment, the present invention relates to a vector comprising a nucleic acid encoding HDAC4-NT or a variant thereof for use in the treatment or prevention of heart failure.

As used herein, the term “vector” refers to at least one nucleic acid or to a mixture of at least one nucleic acid and at least one protein which is capable of introducing the nucleic acid comprised therein into a cell. At least one nucleic acid comprised by the vector consists of or comprises at least one nucleic acid encoding HDAC4-NT or a variant thereof. In addition to the nucleic acid consisting of or comprising the nucleic acid encoding HDAC4-NT or the variant thereof, additional nucleic acids and/or polypeptides may be introduced into the cell. The addition of additional nucleic acids and/or polypeptides is especially preferred if said additional nucleic acids and/or polypeptides are required to introduce the nucleic acid encoding HDAC4-NT or the variant thereof into the cell.

In the context of the present invention it is preferred that HDAC4-NT or the variant thereof is expressed within the cell upon introduction of the vector or vectors. Examples of suitable vectors include but are not limited to plasmids, cosmids, phages, viruses or artificial chromosomes.

In preferred embodiments, the vector is selected from the group consisting of plasmids, cosmids, phages, viruses, and artificial chromosomes. More preferably, a vector suitable for practicing the present invention is a phage vector, preferably lambda phage and filamentous phage vectors, or a viral vector.

Preferred viral vectors are based on naturally occurring vectors, which are modified to be replication incompetent also referred to as non-replicating. Non-replicating viruses require the provision of proteins in trans for replication. Typically those proteins are stably or transiently expressed in a viral producer cell line, thereby allowing replication of the virus. The viral vectors are, thus, preferably infectious and non-replicating. The skilled person is aware of how to render various viruses replication incompetent.

In a preferred embodiment of the present invention the vector is selected from the group consisting of adenovirus vectors, adeno-associated virus (AAV) vectors (e.g., AAV type 1, type 2, type 5, type 6 and type 9), alphavirus vectors (e.g., Venezuelan equine encephalitis virus (VEE), sindbis virus (SIN), semliki forest virus (SFV), and VEE-SIN chimeras), herpes virus vectors (e.g. vectors derived from cytomegaloviruses, like rhesus cytomegalovirus (RhCMV) (14)), arena virus vectors (e.g. lymphocytic choriomeningitis virus (LCMV) vectors (15)), measles virus vectors, pox virus vectors (e.g., vaccinia virus, modified vaccinia virus Ankara (MVA), NYVAC (derived from the Copenhagen strain of vaccinia), and avipox vectors: canarypox (ALVAC) and fowlpox (FPV) vectors), vesicular stomatitis virus vectors, retrovirus, lentivirus, viral like particles, and bacterial spores.

An especially preferred vector with HDAC4-NT as insert is given in SEQ ID NO: 18. Also preferred is a vector as defined by SEQ ID NO: 19. Said sequence comprises luciferase instead of a peptide of the present invention. However, the exchange of the luciferase for HDAC4-NT is easily accomplished.

The most preferred vector is an adenovirus, more preferably adeno associated virus (AAV) type 1, type 6 or type 9. For use in humans, AAV types 1 or 6 are preferred, for use in mice AAV type 9.

To direct expression of HDAC4-NT or the variant thereof, the nucleic acid encoding it is operationally linked to an internal promoter and/or enhancer that is recognized by the transcriptional machinery of the cell. Suitable promoters may be derived from the genome of mammalian cells (e. g., MHCII promoter, EFlalpha promoter) or from mammalian viruses (e.g., the cytomegalovirus promoter, the spleen focus-forcing virus SFFV promoter). Especially preferred are promoters which enable the expression of the above-mentioned gene in cardiomyocytes.

One preferred promoter is defined by SEQ ID NO: 22. In an especially preferred embodiment, the promoter is a human troponin promoter as this promoter is especially well suited for cardiomyocyte-specific expression of transgenes. Preferably, the human troponin promoter has a nucleic acid sequence as defined by SEQ ID NO: 21.

In another preferred embodiment, the vector encodes a recognition site for micro-RNA 122 between the promoter and the terminator sequence so that said recognition site becomes part of the transcript produced from this vector. Since micro-RNA 122 is found in many types of cells but not in cardiomyocytes, said recognition site causes breakdown of the mRNA in those types of cells where micro-RNA 122 is present, thus preventing translation of the transcript. Preferably the recognition site for micro-RNA 122 has a nucleic acid sequence as defined by SEQ ID NO: 20.

In a particularly preferred embodiment of the present invention, the vector comprises a human troponin T promoter as defined above and a nucleic acid sequence encoding a recognition site for micro-RNA 122 as defined above.

As used herein, “operatively linked” means incorporated into a genetic construct so that expression control sequences effectively control expression of a coding sequence of interest.

Specific initiation signals may also be required for efficient translation of coding sequences. These signals include the ATG initiation codon and adjacent sequences. Exogenous translational control signals, including the ATG initiation codon, may additionally need to be provided. One of ordinary skill in the art would readily be capable of determining this and providing the necessary signals. It is well known that the initiation codon must be in-frame (or in-phase) with the reading frame of the desired coding sequence to ensure translation of the entire insert. These exogenous translational control signals and initiation codons can be of a variety of origins, both natural and synthetic.

Pharmaceutical Compositions

In a preferred embodiment of the present invention, the peptides, nucleic acids or vectors of the present invention are part of a pharmaceutical composition. These embodiments relate to all parts of the invention, i.e. to ABHD5 and the variants thereof as well as HDAC4-NT and the variants thereof.

The term “composition” refers to the combination of a vector, nucleic acid or peptide of the present invention and at least one further compound selected from the group consisting of pharmaceutically acceptable carriers and pharmaceutical excipients.

“Pharmaceutically acceptable” means approved by a regulatory agency of the Federal or a state government or listed in the U.S. Pharmacopeia or other generally recognized pharmacopeia for use in animals, and more particularly in humans.

The term “carrier”, as used herein, refers to a pharmacologically inactive substance such as but not limited to a diluent, excipient, or vehicle with which the therapeutically active ingredient is administered. Such pharmaceutical carriers can be liquid or solid. Liquid carrier include but are not limited to sterile liquids, such as saline solutions in water and oils, including those of petroleum, animal, vegetable or synthetic origin, such as peanut oil, soybean oil, mineral oil, sesame oil and the like. Saline solutions and aqueous dextrose and glycerol solutions can also be employed as liquid carriers, particularly for injectable solutions. A saline solution is a preferred carrier when the pharmaceutical composition is administered intravenously or intranasally by a nebulizer.

Suitable pharmaceutical excipients include starch, glucose, lactose, sucrose, gelatin, malt, rice, flour, chalk, silica gel, sodium stearate, glycerol monostearate, talc, sodium chloride, dried skim milk, glycerol, propylene, glycol, water, ethanol and the like.

Examples of suitable pharmaceutical carriers are described in “Remington's Pharmaceutical Sciences” by E. W. Martin.

Test System

In yet another embodiment, the present invention relates to a method for identifying a compound which modulates the activity and/or localization of ABHD5 or a variant thereof comprising the steps of

-   -   a) contacting a test system comprising ABHD5 or a variant         thereof with a candidate compound;     -   b) determining whether the candidate compound modulates the         activity and/or localization of ABHD5 or the variant thereof;     -   c) identifying the compound as a compound which modulating the         activity of ABHD5 or the variant thereof based on the comparison         of the activity and/or localization of ABHD5 or the variant         thereof in the test system comprising the candidate compound and         the activity of ABHD5 or the variant thereof determined in a         control in step b).

It is preferred to use the variant of ABHD5 whose activity is to be determined in the test system. However, if it is expected that two variants of ABHD5 will show the same response to the candidate compound, it is also possible to use only one of these variants and to extrapolate to the effect of said compound on the other candidate compound. Similarly, if wild-type ABHD5 and a variant thereof can be expected to show the same response, it may be possible—and thus also preferred—to use a test system comprising wild type ABHD5 to test the modulation of the variant and vice versa.

A test system is a composition of reagents comprising ABHD5 or a variant thereof, wherein said ABHD5 generates a signal which allows the differentiation between a test compound which modulates the activity of ABHD5 and a test compound which does not.

If localization of ABHD5 is used as an indicator of its activity, the test system is, preferably, a cell expressing ABHD5 or a variant thereof, more preferably a cardiomyocyte.

If the enzymatic activity of ABHD5 is to be analyzed, the test system is, preferably a cell as described above. However, due to their simplicity, cell free systems are more preferred.

Preferably, the modulation of the activity of ABHD5 is determined by comparing a test system to which the test compound is added and an otherwise identical test system without the test compound.

Preferably, the activity determined with the test system is the ability of ABHD5 to mediate cleavage of HDAC4 or a variant of HDAC4 which does not bind to MEF2 into a fragment which binds to MEF2. Preferably, said fragment is HDAC4-NT as described further above in the present application.

Preferably, the modulation of the activity of ABHD5 is an increase of its activity. Said increase may be caused by increased affinity of ABHD5 for HDAC4 or by an increased turnover number. The cleavage of HDAC4 may be determined as explained in the examples section.

Moreover, the activity of ABHD5 or a variant thereof may be influenced by its binding affinity to lipid droplets as set forth above. Thus, the localization of ABHD5 may be used as an indicator of its activity. The less ABHD is bound to lipid droplets, the higher its activity.

We further claim potential tests were the link to HDAC4 or the proteolytic activity of abhd5 are directly or indirectly tested. This could be achieved by the subcellular localization (bound to LD, vs homogenous expression in the cytosol/nucleus) of ABHD4 may be analyzed by expressing GFP- or RFP or other fluophor-tagged ABHD5 in cell-based assays (high-content screening).

Protein-protein interaction assays (e.g. alpha screen, FRET assays, mammalian two hybrid screen) to test the binding between ABHD5 and perilipin or between ABHD5 and HDAC4.

The test compound may be any peptide or small molecule. A peptide as referred to in this embodiment comprises at least 2, more preferably at least 3 even more preferably at least 4 and most preferably at least 5 amino acids linked by peptide bonds. Preferably, said amino acids are amino acids found in nature, more preferably proteinogenic amino acids. However, it is also preferred to use peptides comprising at least one amino acid having a residue not found in nature.

A small molecule is, preferably, an organic molecule having a molecular weight of not more than 2000 Da, more preferably not more than 1600 Da, even more preferably not more than 1200 Da and, most preferably, not more than 800 Da.

Since the proteolytic cleavage of HDAC4 mediated by ABHD5 generates an N-terminal fragment (HDAC4-NT) which is useful for the treatment or prevention of heart failure, the identification of modulators which increase the activity of ABHD5, preferably in cell based systems and more preferably in vivo, is of great clinical importance. Hence, the test system of the invention is a valuable tool for the discovery of novel pharmaceutical compounds useful for the treatment or prevention of heart failure.

In yet another embodiment, the present invention relates to the use of ABHD5 for identifying a compound which suppresses myocardial remodeling.

TABLE 1 Overview over the sequences disclosed by the present application SEQ ID NO. Sequence 1 Human ABHD5 polypeptide 2 Orangutan ABHD 5 polypeptide 3 Mouse ABHD5 polypeptide 4 Rat ABHD5 polypeptide 5 Pig ABHD 5 polypeptide 6 Human ABHD5 nucleic acid 7 Orangutan ABHD 5 nucleic acid 8 Mouse ABHD5 nucleic acid 9 Rat ABHD5 nucleic acid 10 Pig ABHD 5 nucleic acid 11 Human HDAC4 polypeptide 12 Mouse HDAC4 polypeptide 13 Human HDAC4-NT polypeptide 14 Mouse HDAC4-NT polypeptide 15 Human HDAC4 nucleic acid 16 Mouse HDAC4 nucleic acid 17 Human HDAC4-NT nucleic acid 18 Expression vector encoding human HDAC4-NT 19 Expression vector for cardiomyocyte-specific expression of transgenes, encodes luciferase as transgen 20 Recognition site of micro-RNA 122 21 Human troponin T promoter sequence 22 CMVMLC260-Promoter sequence The following examples are merely intended to illustrate the invention. They shall not limit the scope of the claims in any way.

EXAMPLES Materials and Methods

Transthoracic echocardiography. Echocardiography was performed using a Sonos 5500 with a S12 transducer (12 MHz). The echocardiographer was blinded with respect to the treatment group. Mice were shaved and left ventricular parasternal short-axis views were obtained in M-mode imaging at the papillary muscle level. Three consecutive beats were used for measurements of left ventricular end-diastolic internal diameter (LVEDD) and left ventricular end-systolic internal diameter (LVESD). Fractional shortening (FS) was calculated as FS %=[(LVEDD−LVESD)/LVEDD]×100%.

Generation of an Adeno Associated Virus (HDAC4-AAV).

HDAC4 aa2-201 was cloned into a double-stranded AAV-vector downstream of a CMV-enhanced short (260 bp) myosin light chain promoter (CMVenh/MLC260). AAV9 vectors were produced with the three plasmid transfection method.

RNA Analysis.

Total RNA was isolated from ventricular tissue using TRIzol (Invitrogen, Germany). Total RNA was digested with DNase, and cDNA synthesis from 500 ng of RNA was carried out using a SuperScript first-strand synthesis system for RT-PCR (Invitrogen). Quantitative real-time PCR (qPCR) was performed with Universal ProbeLibrary (Roche) by using TaqMan Universal PCR Mastermix (Applied Biosystems) and detection on a 7500 Fast Cycler (Applied Biosystems) as described previously [1].

Transverse Aortic Constriction.

TAC to a 27 gauge stenosis was performed in 9-10 week-old male black six mice (charles river), mice as described previously [2]. AAV vectors were intravenously injected into the tail vein of male adult mice as 150-200 μL bolus using a sterile syringe and 29-gauge needle. Animals were euthanized by cervical dislocation. Organs were dissected and rapidly frozen in liquid nitrogen.

Western Blotting.

Proteins from heart tissue and cultured cardiomyocytes were isolated, and Western blot analysis was performed according to protocols described previously [1]. Primary antibodies used were anti-flag (santa cruz), anit-myc (santa cruz), anti-gfp (abcam). Primary antibody incubation was followed by corresponding horseradish peroxidase (HRP)-conjugated secondary anti-mouse and anti-rabbit antibodies and ECL detection. Relative protein levels were detected by densitometry using the Image J program.

Histology.

Hematoxylin and eosin (H&E) and Masson's trichrome stainings were performed as previously described [3]. Cardiomyocyte size was assessed on H&E-stained sections by using Image J software (http://rsb.info.nih.gov/ij/). More than 200 randomly chosen cardiomyocytes from each group were analyzed to measure cross-sectional cardiomyocyte area. To quantify cardiac fibrosis, 20 trichrome-stained sections (magnification 20×) from the left ventricle were randomly selected, and morphometric analysis by using Image J was performed. Photographs were acquired with an Olympus SZH zoom stereo dissection scope with an Optronics DEI-750 CCD digital camera. All data were analyzed by a single observer blinded to the mouse genotypes.

Results

Overexpression of N-Terminal HDAC4 Via an Adeno Associated Virus (AAV) in Mice is Cardioprotective.

HDAC4-NT is able to inhibit the transcription factor myocyte enhancer factor 2 (MEF2). [4] MEF2 is thought to be involved in pathological cardiac remodeling. [5] We therefore hypothesized that HDAC4-NT could have beneficial and cardioprotective effects in vivo. By cloning HDAC4-NT into a cardiotrophic AAV substrain (AAV9) under the control of a cardiomyocyte specific promoter (CMVenh-MLC260), we were able to transduce cardiomyocytes in vivo via a single tail vein injection. Mice were injected 4 weeks before they were exposed to transthoracic aortic constriction (TAC)-surgery as a model for cardiac stress and the development of heart failure. By doing so, animals that were treated with AAV-HDAC4-NT showed reduced cardiac hypertrophy, improved cardiac function and normalized gene regulation from genes that are known to play an important role in pathological cardiac remodeling (FIG. 2). Cardiac fibrosis that was developed by control-mice was diminished when animals were treated with HDAC4-NT.

We further aimed to investigate the endogenous role of HDAC4-NT. In wildtype animals, HDAC4-NT production is increased after physiological exercise. We generated conditional HDAC4-knockout animals, lacking HDAC4 in cardiomyocytes only and exposed these animals to running exercise. HDAC4-KO animals showed a reduced exercise tolerance with a reduced left ventricular function after running exercise. Reduced exercise performance was rescued when HDAC4-KO were treated with AAV-HDAC4-NT, indicating that HDAC4-NT is crucial for sustained cardiac function after cardiac stress (FIG. 15). By further carefully characterization of the animals we did not found any harmful effects or any side effects that were linked to AAV-HDAC4-NT treatment.

Abhd5 is a Critical HDAC4 Protease.

To get insides about the upstream regulation of HDAC4 cleavage, we performed a siRNA-screen with a set of potential serine-proteases. By doing so, we identified a protein called 1-acylglycerol-3-phosphate O-acyltransferase (abhd5) playing a crucial role in PKA induced HDAC4 cleavage. HDAC4 cleavage was not longer present when abhd5 was knocked down by different siRNAs even when PKA was co-expressed with HDAC4 (FIG. 4). Abhd5 is characterized by typical structural features that can be found predominantly in serine proteases. However, it was not shown before, that abhd5 can indeed act as a protease. By adenoviral overexpression in neonatal rat ventricular myocytes (NRVMs) of abhd5 we were able to achieve HDAC4 cleavage without additional PKA activation or expression (FIG. 5).

Abhd5 Overexpression Leads to MEF2 Inhibition and is Cleavage Dependent.

By using a MEF2-luciferase assay, we found that abhd5 is able to completely normalize MEF2 activity induced by fetal calf serum (FCS), which is commonly used to induce cardiomyocyte hypertrophy. EGFP control virus did not show any beneficial effects in this system (FIG. 6)

Abhd5 Inhibits Cardiomyocyte Hypertrophy In Vitro.

We next hypothesized, that abhd5 induced HDAC4-NT is able to inhibit cardiomyocyte hypertrophy in vitro. Indeed, abhd5 was able to inhibit FCS induced cardiomyocyte hypertrophy. This effect was independent from a control virus with EGFP. (FIG. 7)

Discussion

We found that HDAC4-NT is cardioprotective in mice and thus could serve as a potential pharmacological tool for the treatment of heart failure in human. This was surprising because earlier approaches to protect the heart by overexpression of a class II HDAC failed [6]. These earlier approaches used transgenic expression of full length HDACs and specific mutations of phosphosites to render HDACs signal-resistant and to force them to localize to the nucleus. However, class II HDAC mutant overexpression showed dramatic harmful effects by inducing mitochondrial dysfunction and apoptosis. In this work we provide two novel ways to circumvent harmful effects. First, we use the AAV system which allowed us to closely titrate the dosage of HDAC expression. The AAV system was already used in clinical trials (SERCA gene therapy). Second, by using an partial HDAC4 peptide we specifically seem to prevent the disease process of the heart and not essential functions such as mitochondrial function or cell survival. As a proof of concept, by expressing HDAC4 1-201 via AAVs, we show here for the first time, that this concept is a new promising therapeutic approach. Given the previous experience with the overexpression of putatively protective proteins in the same animal model, this was not expected.

Upstream Regulation Could Serve as an Additional Tool

With the identification of a critical PKA dependent protease (abhd5) we have identified the upstream signaling molecule that induced cardioprotective HDAC4 proteolysis. Abhd5 was not described as a protease and the involvement in potential cardioprotective pathways is new. Under normal conditions, abhd5 is bound to lipid droplets (LDs) and is involved in the regulation of lipolysis.

-   -   1. Backs, J., et al., CaM kinase II selectively signals to         histone deacetylase 4 during cardiomyocyte hypertrophy. J Clin         Invest, 2006. 116(7): p. 1853-64.     -   2. Backs, J., et al., The delta isoform of CaM kinase II is         required for pathological cardiac hypertrophy and remodeling         after pressure overload. Proc Natl Acad Sci USA, 2009.         106(7): p. 2342-7.     -   3. Song, K., et al., The transcriptional coactivator CAMTA2         stimulates cardiac growth by opposing class II histone         deacetylases. Cell, 2006. 125(3): p. 453-66.     -   4. Sun, Q., et al., Role of myocyte enhancing factor 2B in         epithelial myofibroblast transition of human gingival         keratinocytes. Exp Biol Med (Maywood), 2012. 237(2): p. 178-85.     -   5. Kim, Y., et al., The MEF2D transcription factor mediates         stress-dependent cardiac remodeling in mice. J Clin         Invest, 2008. 118(1): p. 124-32.     -   6. Czubryt, M. P., et al., Regulation of peroxisome         proliferator-activated receptor gamma coactivator 1 alpha (PGC-1         alpha) and mitochondrial function by MEF2 and HDAC5. Proc Natl         Acad Sci USA, 2003. 100(4): p. 1711-6. 

The invention claimed is:
 1. A method of treating or preventing heart failure comprising administering an effective amount of abhydrolase containing domain 5 (ABHD5) having an amino acid sequence as defined by one of SEQ ID NOs:1 to 5 or a variant thereof to a patient exhibiting symptoms of heart failure, wherein the variant has at least 95% sequence identity with one or more of SEQ ID NOs:1 to 5 and is capable of cleaving histone deacetylase 4 (HDAC4) following amino acid 201 to produce HDAC-NT.
 2. The method of claim 1, wherein said ABHD5 variant is a substitution variant of human ABHD5, wherein at least one tryptophan selected from the group consisting of the tryptophan at position 19, the tryptophan at position 23 and the tryptophan at position 27 is replaced by an alanine.
 3. The method of claim 1, wherein said ABHD5 variant is a substitution variant of mouse or rat ABHD5, wherein at least one tryptophan selected from the group consisting of the tryptophan at position 22, the tryptophan at position 26 and the tryptophan at position 30 is replaced by an alanine. 